Cerissa Nicole Johnson Heth

Nurse Practitioner · South Ogden, UT

Individual Active NPI

NPI number 1952040974

Practice location

975 Chambers St
South Ogden, UT 84403-4591
Phone
(801) 387-6200
Fax
(801) 387-6234

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NPI record

NPI
1952040974
Entity type
Individual (Type 1)
Enumeration date
May 27, 2022
Last updated
January 13, 2023
Certified
January 13, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 11591617-4405 UT
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice locations (1)

  • 4602 W 1100 S, West Point, UT 84015-7779 · (801) 859-5856

About Cerissa Heth

Cerissa Nicole Johnson Heth is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 975 Chambers St, South Ogden, UT 84403-4591. The NPI number 1952040974 was assigned on May 27, 2022 and the record was last updated on January 13, 2023.

Cerissa Heth lists a license in the registry: #11591617-4405 (UT) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Cerissa Nicole Johnson Heth?

The NPI number is 1952040974.

What is the phone number of Cerissa Heth?

The phone number listed for the practice location is (801) 387-6200.

Where is Cerissa Heth located?

975 Chambers St, South Ogden, UT 84403-4591.

What is the taxonomy code for Cerissa Heth?

The primary taxonomy code is 363L00000X – Nurse Practitioner; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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